Kodi mwaonapo kuti mwana wanu nthawi zonse amadandaula mutu, nthawi zina amasanza, amavutika kuona, kapena amatopa kwambiri kuposa masiku onse? Nthawi zina zinthuzi zimatha kukhala zizindikiro za matenda wamba. Komabe, nthawi zina, zimatha kukhala chizindikiro cha matenda oopsa kwambiri, monga germinoma . Musadandaule, tikambirana izi mwatsatanetsatane lero.
Kodi Germinoma ndi chiyani? Tiyeni timvetse mosavuta!
Mwachidule, germinoma ndi mtundu wa chotupa chomwe chimamera muubongo mwanu. Madokotala amatchanso kuti "intracranial germinomas." Nthawi zambiri amapezeka m'madera awiri a ubongo. Limodzi ndi pineal region , komwe kuli pineal gland yanu. Lina ndi suprasellar region , komwe kuli pituitary gland yanu.
Tsopano mwina mukudabwa kuti ndi zotupa za maselo a germ cell (GCTs) ziti. Zimachokera ku maselo oberekera m'thupi lathu. Ndiko kuti, kuchokera ku maselo omwe amapanga umuna mwa mwamuna ndi mazira mwa mkazi. Kawirikawiri, zotupa za maselo a germ cell (GCTs) izi zimatuluka m'mazira kapena m'ma testicles. Koma ma germinomas ndi osiyana pang'ono. Chomwe chimachitika pankhaniyi ndi chakuti maselo a germ cell amenewo amapita ku ubongo kapena msana ndikukula kumeneko ngati chotupa. Ngakhale zina mwa izi sizingakhale khansa (zoipa), ma germinomas ambiri ndi khansa (yoipa).
Koma apa pali vuto, ma germinoma awa ali ndi mankhwala abwino, ndipo nthawi yoti matendawa ayambe kuonekera ndi yabwino kwambiri. Amakula pang'onopang'ono, kotero pali mwayi waukulu kuti akhoza kuchiritsidwa kwathunthu ndi chithandizo.
Kodi germinoma iyi ndi yofala bwanji?
Ndipotu, zotupa za maselo a germ cell zomwe zimapangidwa muubongo n'zosowa kwambiri. Komabe, pakati pa zotupa zomwe sizipezeka kawirikawiri , ma germinomas ndi omwe amapezeka kwambiri. Amapezeka kwambiri mwa ana ndi achinyamata, azaka zapakati pa 10 ndi 20. Zapezekanso kuti anyamata ndi omwe amatha kuzipeza kuposa atsikana.
Kodi zizindikiro za germinoma ndi ziti?
Pamene germinoma ipangika mu ubongo, ingayambitse kupanikizika pa cerebrospinal fluid (CSF) mkati mwa ubongo. Izi zimatchedwa hydrocephalus . Kupanikizika komwe kumachitika chifukwa cha chotupa ichi kapena kupanikizika komwe kumachitika chifukwa cha kuchuluka kwa madziwo kungayambitse zizindikiro zosiyanasiyana . Tiyeni tiwone zomwe zili:
- Mutu wopweteka pafupipafupi: Uwu ukhoza kukhala mutu wosiyana komanso woopsa kwambiri kuposa mutu wamba.
- Kusanza ndi kusanza: Vutoli likhoza kuipiraipira, makamaka m'mawa.
- Mavuto okhudzana ndi kugwirizana kwa minofu (ataxia):Zinthu monga kupunthwa poyenda, monga kulephera kukhala bwino.
- Mavuto a maso: Kuona zinthu molakwika, kuona zinthu ziwiri, kuvutika kuyang'ana mmwamba, ndi zina zotero.
- Kusintha kwa maganizo: Kumva kukwiya, chisoni, kapena nkhawa mwadzidzidzi.
- Kuvuta kuyika maganizo pa chinthu: N'kovuta kuika maganizo anu pa chinthu pamene mukuphunzira kapena mukugwira ntchito.
- Kutopa: Kumva kutopa ngakhale utagona tulo tochuluka bwanji.
Kuwonjezera pa zizindikiro zimenezi, zizindikiro zokhudzana ndi mahomoni zimathanso kuchitika kutengera komwe chotupacho chili. Mwachitsanzo, ngati chotupa chikaonekera pafupi ndi pituitary gland, zotsatirazi zingachitike:
- Kumva ludzu kwambiri komanso kukodza pafupipafupi: Ichi ndi chizindikiro cha matenda otchedwa diabetes insipidus .
- Kutha msinkhu msanga kapena mochedwa.
- Kukula kolakwika kwa ana.
- Kugona tulo topitirira muyeso kapena kuchedwa.
Chofunika: Musaope kuti ndi germinoma chifukwa chakuti muli ndi chimodzi kapena ziwiri mwa zizindikirozi. Komabe, ngati zizindikirozi zikupitirira, makamaka kwa mwana, ndi bwino kupita kwa dokotala kuti akakupatseni upangiri.
Nchifukwa chiyani germinoma iyi imapanga?
Nkhaniyi ndi yovuta kwambiri. Pa nthawi ya umuna, kutanthauza kuti, mwana akamabadwa m'mimba mwa mayi ake, maselo a tizilombo omwe tidalankhula kale nthawi zambiri amapita ku mazira kapena machende. Pamenepo ndi pomwe amakhala mazira kapena umuna.
Komabe, mu germinoma, maselo enawa amapotoka n’kupita ku ubongo kapena msana. Akatero, m’malo mokhala mazira kapena umuna, amakula limodzi mopanda dongosolo ndipo amapanga gulu limodzi m’dera limodzi kapena angapo a ubongo. Ngati sanalandire chithandizo, maselowa amatha kufalikira ku ziwalo zina za thupi.
Akatswiri azachipatala sakudziwabe chifukwa chake izi zimachitika poyamba. Zidakali mu gawo lofufuza.
Kodi mungazindikire bwanji germinoma?
Ngati dokotala akukayikira kuti pali germinoma, adzachita mayeso angapo.
- Mayeso ojambulira: Izi nthawi zambiri zimaphatikizapo MRI (Magnetic Resonance Imaging) . Izi zitha kuwonetsa bwino ngati pali zotupa mu ubongo kapena msana.
- Kuyesa chizindikiro cha chotupa: alpha-fetoprotein (AFP) ndi human chorionic gonadotropin (hCG) m'magazi anu ndi madzi a m'mitsempha yamagazi (CSF)Mlingo wa mankhwala otchedwa umayesedwa. Mlingo uwu umathandiza kusiyanitsa ndi kuzindikira ngati ndi germinoma kapena mtundu wina wa chotupa cha maselo a germ.
- Kufufuza za khansa: Ngati mayeso ena sali okhazikika, dokotala angatenge chitsanzo chaching'ono cha chotupacho ndikuchiyesa mu labu kuti aone ngati chili ndi maselo a khansa. Komabe, nthawi zambiri, biopsy sikofunikira chifukwa mayeso ena angathandize kuzindikira khansa.
Nthawi zina zimatenga nthawi kuti ana azindikire kuti ali ndi kachilombo ka germinoma, chifukwa zizindikiro monga vuto la kusazindikira bwino komanso kuchedwa zimathanso kugwirizanitsidwa ndi mavuto amisala. Kaya chifukwa chake ndi chiyani, mwana wanu akapezeka msanga, ndiye kuti amayamba msanga chithandizo chomwe akufuna.
Kudziwa siteji ya khansa (magawo)
Pambuyo pozindikira matendawa, dokotala adzazindikira gawo la germinoma poyang'ana momwe yafalikira. Imagawidwa m'magulu a localized (M0) , zomwe zikutanthauza kuti sinafalikire, kapena yafalikira/yafalikira (M+) , zomwe zikutanthauza kuti yafalikira.
Kugawa kumeneku n'kothandiza kwambiri kwa madokotala pokonzekera chithandizo.
Kodi Germinoma imachiritsidwa bwanji?
Ma germinoma ambiri amatha kuchiritsidwa kwathunthu ndi chithandizo cha radiation . Chithandizochi chimaphatikizapo kugwiritsa ntchito ma radiation amphamvu kwambiri, monga X-ray, kuti awononge chotupacho. Komabe, chithandizo cha radiation chingayambitse zotsatira zoyipa kwakanthawi kochepa komanso kwanthawi yayitali. Chingawonjezerenso pang'ono chiopsezo chokhala ndi khansa ina mtsogolo.
Pachifukwa ichi, madokotala a khansa ya radiation amakonza chithandizo mosamala kwambiri. Cholinga chawo ndikupereka mlingo wokwanira wofunikira kuti aphe chotupacho pamene akuchepetsa chiopsezo cha zotsatirapo zake. Nthawi zina, chemotherapy imaperekedwa chithandizo chisanachitike kuti chotupacho chichepetsedwe. Izi zimathandiza kuti germinoma ichitidwe ndi mlingo wochepa wa radiation.
Kodi ndingayembekezere chiyani ngati ndili ndi germinoma?
Ndipotu, chiyembekezo cha matenda a germinoma ndi chabwino kwambiri. Anthu opitilira 90% omwe amalandira chithandizo cha radiation amatha kukhala ndi moyo kwa zaka 10. Mwayi woti zotupazo zibwererenso ndi wochepa kwambiri. Ngakhale zitabweranso, nthawi zambiri zimatha kuwonongedwa kwathunthu ndi chithandizo china cha radiation.
Komabe, zomwe munthu aliyense akukumana nazo zingasiyane. Ndikofunikira kufunsa dokotala wanu momwe matenda anu ndi dongosolo lanu la chithandizo zingakhudzire mwayi wanu wochira.
Kodi ndingadzisamalire bwanji ine kapena mwana wanga?
Chimodzi mwa zinthu zabwino kwambiri zomwe mungachite ngati muli ndi germinoma ndi:Gwirani ntchito limodzi ndi gulu lanu lachipatala kuti muchepetse zotsatirapo zoyipa za chithandizo. Chithandizo cha radiation ndi chemotherapy ndi mankhwala othandiza kwambiri a germinoma. Komabe, sizili zopanda mavuto akuthupi komanso amalingaliro.
Palibe amene anganeneretu momwe mungayankhire mukalandira chithandizo. Komabe, dokotala wanu angakuphunzitseni za zotsatirapo zoyipa zofala. Kumvetsa zomwe zingachitike kungakuthandizeni kukhala okonzeka.
Ngati ndinu wosamalira mwana amene akulandira chithandizo cha khansa, kambiranani ndi mwana wanu za zomwe zikuchitika moyenerera msinkhu wake. Khalani ndi mwana wanu. Phatikizani anthu omwe akukuthandizani. Gwiritsani ntchito zinthu zonse zomwe mukufunikira kuti mupereke chisamaliro champhamvu kwa mwana wanu.
Kodi ndiyenera kupita kwa dokotala liti?
Pitani kwa dokotala ngati mukudwala mutu pafupipafupi, muli ndi vuto la masomphenya, kapena zizindikiro zina zomwe zingakhale zizindikiro za chotupa cha muubongo. Ngati muwona chimodzi mwa zizindikirozi mwa mwana wanu, onetsetsani kuti mwapeza upangiri wa dokotala.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Nazi mafunso ena omwe mungafunse dokotala wanu:
- Kodi germinoma iyi ili pa siteji iti? Ili kuti?
- Kodi mumalimbikitsa chithandizo chanji?
- Kodi mungatani kuti muthane ndi zotsatirapo za chithandizo kwa kanthawi kochepa?
- Ndi zotsatirapo ziti za nthawi yayitali zomwe ndiyenera kusamala nazo?
- Kodi ndiyenera kubwera kangati kudzandionanso?
Pomaliza, pali chinthu choti muganizire!
Anthu ambiri amakhala ndi nkhawa komanso mantha akamva mawu oti "khansa." Mantha amenewa amawonjezeka makamaka chotupa chikakhala muubongo, chomwe chili ngati kompyuta m'thupi lathu. Komabe, kumbukirani kuti vutoli, lotchedwa germinoma, nthawi zambiri limatha kuchiritsidwa ndi radiation therapy. Izi sizikutanthauza kuti chithandizocho chidzakhala chosavuta kapena kuti palibe chiopsezo cha zotsatirapo zake. Ndikofunikiranso kupita kukayezetsa kuti muwone ngati chotupacho chabwerera. Komabe, ndi chithandizo, anthu ambiri amachira kwathunthu ku germinoma. Ndikofunikira kwambiri kufunsa dokotala wanu momwe matenda anu amakhudzira tsogolo lanu. Musataye mtima!
Germinoma , zotupa muubongo, khansa, khansa yaubwana, chithandizo cha radiation, chemotherapy, zizindikiro za ubongo

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment